Pemetrexed (ALIMTA) and Gefitinib (IRESSA®) in Never-Smoker and Adenocarcinoma Patients With Non-Small Cell Lung Cancer Previously Treated With Platinum-Based Chemotherapy
This study is enrolling participants by invitation only.
Sponsor:
Samsung Medical Center
Information provided by:
Samsung Medical Center
ClinicalTrials.gov Identifier:
NCT01066195
First received: February 8, 2010
Last updated: February 9, 2010
Last verified: February 2010
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Pemetrexed was known to be effective to pulmonary adenocarcinoma and gefitinib was known to be more effective to non-small cell lung cancer (NSCLC) patients with clinical characteristics such as adenocarcinoma, never smoker and female.
The investigators try to evaluate which drug (pemetrexed vs gefitinib) is more efficious to NSCLC patients with clinical characteristics such as adenocarcinoma and never smoking history as second- or further-line therapy.
Condition | Intervention | Phase |
---|---|---|
Non-small Cell Lung Cancer |
Drug: iressa Drug: alimta |
Phase 3 |
Study Type: | Interventional |
Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
Official Title: | A Phase III, Multi-center, Randomized Trial of Pemetrexed and Gefitinib in Never-smoker and Adenocarcinoma Patients With Non-small Cell Lung Cancer Previously Treated With Platinum-based Chemotherapy |
Resource links provided by NLM:
Further study details as provided by Samsung Medical Center:
Primary Outcome Measures:
- progression-free survival [ Time Frame: 36 months ] [ Designated as safety issue: No ]
Secondary Outcome Measures:
- overall survival [ Time Frame: 36 months ] [ Designated as safety issue: No ]
- objective response rate [ Time Frame: 36 months ] [ Designated as safety issue: No ]
- toxicity [ Time Frame: 36 months ] [ Designated as safety issue: Yes ]
Estimated Enrollment: | 129 |
Study Start Date: | May 2008 |
Estimated Primary Completion Date: | October 2010 (Final data collection date for primary outcome measure) |
Arms | Assigned Interventions |
---|---|
Experimental: gefitinib |
Drug: iressa
iressa 250mg per day every day
|
Active Comparator: pemetrexed |
Drug: alimta
alimta 500mg/m2 every 3 weeks
|
![](https://webarchive.library.unt.edu/web/20121019014514im_/http://www.clinicaltrials.gov/ct2/html/images/frame/triangle.gif)
Ages Eligible for Study: | 18 Years and older |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Criteria
Inclusion Criteria:
- Histologically confirmed pulmonary adenocarcinoma including bronchioloalveolar, but except adenosquamous cell carcinoma
- Stage IIIB (malignant pleural effusion and/or pleural seeding), stage IV and relapsed non-small cell lung cancer
- Failed with 1st line platinum-based chemotherapy or relapsed within 12 months after adjuvant platinum-based chemotherapy)
- Never smoker (less than 100 cigarette for the life time)
- 18 year or older
- ECOG 0-2
- No history of biologic or immunotherapy
- Tolerable renal function ( creatine clearance rate is 60ml/min or more)
- Tolerable hepatic function (Serum bilirubin ≤ 1.25 x UNL, AST (SGOT) and ALT (SGPT) ≤ 2.5 x UNL, alkaline phosphatase ≤5 x UNL)
Exclusion Criteria:
- symptomatic brain metastasis
- previously treated with EGFR tyrosine kinase inhibitor
- previously treated with antifolate agents
- poor oral absorption
- patients with active infection
- uncontrolled diabetes mellitus
- significant cardiovascular disease (uncontrolled hypertension, history of myocardial infarction or unstable angina within 6 months, congestive heart failure)
- pregnant or nursing patients
- history of malignant disease within 3 years before the enrollment except for cured non-melanomatous skin cancer, cervical carcinoma in situ, or thyroid carcinoma
![](https://webarchive.library.unt.edu/web/20121019014514im_/http://www.clinicaltrials.gov/ct2/html/images/frame/triangle.gif)
![](https://webarchive.library.unt.edu/web/20121019014514im_/http://www.clinicaltrials.gov/ct2/html/images/frame/triangle.gif)
No publications provided
Responsible Party: | Myungju Ahn Ph.D., M.D., Samsung Medical Center |
ClinicalTrials.gov Identifier: | NCT01066195 History of Changes |
Other Study ID Numbers: | 2008-04-030 |
Study First Received: | February 8, 2010 |
Last Updated: | February 9, 2010 |
Health Authority: | Korea: Food and Drug Administration |
Keywords provided by Samsung Medical Center:
Non-Small Cell Lung Cancer Never-Smoker and Adenocarcinoma patients Pemetrexed (ALIMTA) Gefitinib (IRESSA®) |
Additional relevant MeSH terms:
Adenocarcinoma Carcinoma, Non-Small-Cell Lung Lung Neoplasms Carcinoma Neoplasms, Glandular and Epithelial Neoplasms by Histologic Type Neoplasms Carcinoma, Bronchogenic Bronchial Neoplasms Respiratory Tract Neoplasms Thoracic Neoplasms Neoplasms by Site Lung Diseases |
Respiratory Tract Diseases Pemetrexed Gefitinib Antineoplastic Agents Therapeutic Uses Pharmacologic Actions Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action Folic Acid Antagonists Antimetabolites, Antineoplastic Antimetabolites Protein Kinase Inhibitors |
ClinicalTrials.gov processed this record on October 17, 2012